Sydney Uni Hockey Club Membership

Section 1 - Your Details


First Name *
Last Name *
Date Of Birth *
Gender *
Street Address *
Suburb *
State *
Postcode *
Home Phone
Work Phone
Mobile Phone *
Email *
Email Confirm *
Emergency Contact Name *
Emergency Contact Number *

Section 2 - Your Playing History


Have you played Hockey before? *
 
 
Most Recent Year of Playing
Most Recent Team
Most Recent Club
Have you played representative Hockey? *
 
 
Name of State or Territory
Most recent year of playing rep hockey?
Most recent team
Name of association you represented
Have you been accredited as a hockey umpire? *
 
 
Name of State or Territory
Most recent year of accreditation
Level of accreditation
Name of Association
Type of accreditation

Section 3 - Our Fees


Please read and follow the instructions on the SUHC website before completing this online membership process

SUHC Membership Type

Section 4 - Joining Sydney University Sport and Fitness (SUSF)


Registering with SUHC on-line automatically makes you a member of SUSF. Details of SUSF's extensive services can be found at www.susf.com.au. The following information and confirmations are required in order to grant membership of SUSF and enable you to play with SUHC. Full details of SUSF's Member Code and Policies (including membership Terms and Conditions) can be found at http://www.susf.com.au/member-code-and-policies.html and http://www.susf.com.au/files/SUSF_Terms__Conditions_20160518.pdf.

If you have already obtained an SUSF membership for this year you MUST still complete this section. However, you should talk with the SUHC Treasure after you have become a member of SUHC to determine if you are entitled to be repaid some or all of your initial SUSF membership fee. IT IS NOT POSSIBLE TO JOIN SUHC ON-LINE WITHOUT JOINING SUSF AS PART OF THE SAME TRANSACTION.

Medical Overview

Do you have or have you ever had? *










Are you pregnant or have you given birth in the last six weeks? *

Lifestyle questions

Do any of the following apply to you? *






  *

If you have ticked any condition in Medical Section 1, you will need to obtain medical clearance from a medical practitioner before commencing any activity at any Sydney Uni Sport & Fitness Facility.

Section 5 - Credit Card Details

Payments processed online using eWAY. Please complete your credit card details below:

Card Holder Name
Credit Card Number
Card Type
Credit Card Expiry Month: Year:
CCV
Total
$

 

 

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